Nevada Administrative Code
Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS
INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES
Miscellaneous Communicable Diseases
Section 441A.610 - Measles (rubeola)

Universal Citation: NV Admin Code 441A.610

Current through September 16, 2024

1. The health authority shall investigate each report of a case having measles (rubeola) or suspected case considered to have measles (rubeola) to classify the case, to determine the extent of any outbreak, to identify the source of the infection, to identify any susceptible contacts and to determine the need for exclusion, isolation and immunization of the case and any contacts.

2. Except as otherwise provided in this subsection, a case having measles or a suspected case considered to have measles must be excluded from child care facilities, schools, sporting events sponsored by schools, sensitive occupations, other occupations involving frequent contact with the public, public gatherings, and from contact with susceptible persons outside of his or her household for at least 4 days after the onset of rash. A case having measles or a suspected case considered to have measles may:

(a) Work in a sensitive occupation or other occupation involving frequent contact with the public if the employer of the case or suspected case would be prohibited from preventing the case or suspected case from engaging in that occupation by the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq., or NRS 613.330.

(b) Attend a child care facility or school or access another place of public accommodation if the child care facility, school or other place of public accommodation would be prohibited from preventing the case or suspected case from attending or accessing, as applicable, by the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq., or NRS 651.050 to 651.120, inclusive.

3. If a case having measles or a suspected case considered to have measles is in a medical facility, the medical facility shall provide care to the case or suspected case in accordance with respiratory isolation or other appropriate disease specific precautions for at least 4 days after the onset of rash.

4. An employee of a medical facility shall not have direct contact with any case or suspected case unless the employee has provided proof of immunity to measles.

5. On the same day that a report of a case having measles or suspected case considered to have measles in a school or child care facility is received, the principal, director or other person in charge of the school or child care facility shall:

(a) Conduct an inquiry into absenteeism to determine the existence of any other cases of the illness in the school or child care facility.

(b) Report the case or suspected case to the health authority.

(c) Review the records of immunization of all enrolled children to identify those who are not adequately immunized against measles.

(d) Notify the parent or legal guardian of each child who has not presented proof of immunity to measles, that the child is excluded from attendance at the school or child care facility, effective the following morning:
(1) Until acceptable proof of immunity to measles is received by the child care facility or school; or

(2) If the child has not been immunized to measles because of a medical or religious exemption, from the 5th day after the first exposure through the 21st day after the last exposure.

Added to NAC by Bd. of Health, eff. 1-24-92; A by R121-14, eff. 10/27/2015; A by R187-18A, eff. 6/12/2019; A by R148-22A, eff. 7/26/2023

NRS 439.200, 441A.120, 441A.180

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